Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Island Spine & Sports Medicine PC

Organization Physical Therapist · NPI 1710104641

Island Spine & Sports Medicine PC is a Physical Therapist in Hicksville, New York. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

81 N Broadway
Hicksville, NY 11801-2920
Phone: (516) 933-4351
Fax: (516) 933-4352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1710104641
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Obedian — Owner · (516) 933-4351
NPI enumeratedApril 20, 2007
Last updated in NPPESAugust 22, 2020
Mailing address81 N Broadway, Hicksville, NY 11801-2920

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